Healthcare Provider Details

I. General information

NPI: 1306758776
Provider Name (Legal Business Name): BRANDY A KASTILAHN LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 S GLENBURNIE RD STE 2
NEW BERN NC
28562-2610
US

IV. Provider business mailing address

1425 S GLENBURNIE RD STE 2
NEW BERN NC
28562-2610
US

V. Phone/Fax

Practice location:
  • Phone: 252-336-3646
  • Fax:
Mailing address:
  • Phone: 252-336-3646
  • Fax: 252-421-9200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024414
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: